E Pet Imaging Xvii, L.P.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

E PET IMAGING XVII, L.P.

Doing business as

PET Imaging of Houston - Southeast

Practice address

6021 Fairmont Pkwy
Suite 120
Pasadena, TX 77505-4022

Phone

(281) 991-4615

Fax

(281) 991-4611

NPI assigned

May 18, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jerry Eyler

Title

Secretary of General Partner

Phone

(615) 467-7408

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PET Imaging of Houston - Southeast Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1598718835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 FAIRMONT PKWY",
            "address_2": "SUITE 120",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775054022",
            "telephone_number": "281-991-4615",
            "fax_number": "281-991-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 FAIRMONT PKWY",
            "address_2": "SUITE 120",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775054022",
            "telephone_number": "281-991-4615",
            "fax_number": "281-991-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E PET IMAGING XVII, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EYLER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "SECRETARY OF GENERAL PARTNER",
        "authorized_official_telephone_number": "615-467-7408"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0495DC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE",
            "identifier": "P00262796",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PET Imaging of Houston - Southeast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lilly Maria Duran
• John Lawrence Duren, D.D.S.
• Dannell Durocher, LVN
• Sandra S. Dwyer, LPC, M.ED
• Stephen Joseph Dyess, DC
• Eagle Inpatient Services, PLLC
• Jeffrey Eakin
• Jennifer Early
• East Houston Orthopedics & Sports Medicine PA
• Easy Ryde Transportation

• Radiology Clinic/Center in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.